Pure Wellness & Aesthetics, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PURE WELLNESS & AESTHETICS, LLC

Practice address

733 Terranova Ave
Winter Haven, FL 33884-3411

Phone

(863) 221-5566

NPI assigned

Nov 4, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nacresha Nicole Richardson, APRN

Title

Owner/Ceo

Phone

(863) 288-1709

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1619632643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1435",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338821435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 TERRANOVA AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843411",
            "telephone_number": "863-221-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WELLNESS & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "NACRESHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "863-288-1709",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.